Organization
PALAK J PATEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALAK J PATEL MD (OWNER)
(541) 412-9800
Entity
Organization
Contact information
Practice address
97825 SHOPPING CENTER AVE, BROOKINGS, OR 97415-9403
(541) 412-9800
(541) 412-9600
Mailing address
PO BOX 6988, BROOKINGS, OR 97415-0355
(541) 412-9800
(541) 412-9600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
OR
207R00000X
Internal Medicine Physician
—
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
CA
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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